HomeMy WebLinkAbout0002056-Plumbing (water heater) CITY OF OSHKOSH N9 02056
L' PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG V... SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 9 a C 4 5t -i PLAN NO.
OWNER C...-r i %4/'
/(4.41 1
v
DESIGNER
USE /NATURE OF WORK ry "CC.e c 4„ -4.,..._
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR -1-11 f.-- Q-yc...,
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 76?) 611r Permit Fee Paid 6 Park Dedication
ISSUED BY tr!, a Date /7(7f( Final /O.P.
In the peitormance.of this work I agree to perform all work pursuant to rules governing the described construction.
_______---i 1 13/4 L--:,
SIGNATURE DC VI 4 AAA 1/-4N C 11 /1 &IP
AGENT /OWNER DATE
ADDRESS
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